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Individual
LAURA SIMMONS MARTIN
Active
Individual
LAURA SIMMONS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4129036
BCBS OF TN
TN
01
—
4290424
BCBST PIN
TN
01
—
7698562
AETNA
TN
Enumeration date
11/01/2006
Last updated
05/16/2011
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